Kevin Pascoe
Analyst · Capital One. Please go ahead
Thank you, John. We have been updating active resident cases in our communities on a weekly basis, but I wanted to add a little more context. As Eric mentioned, we had 37 buildings with one or more active resident cases including 20 senior housing properties and 17 SNFs. Within the 20 senior housing properties, 14 were need-driven properties and 6 were discretionary properties.37 properties span 13 unique operators in 18 different states. We had a total of 192 active resident cases, which included 97 cases in our SNFs, 40 cases in skilled nursing wings at our CCRCs and senior living campuses and 55 cases at our senior housing properties.We are in constant contact with our operating partners and are confident they are following their own infectious disease protocols and are acting in accordance with CDC guidelines, state health agency regulations and in some case more so.Overall, we have been very pleased and grateful for the efforts of our operators to prevent or limit the spread of COVID-19 in their communities. The relatively low incidence is not surprising to us and is really a testament to our operators whose mission is to keep our senior population safe.Regarding the CARES Act, several of our operators -- of our senior housing operators have been approved for or have received funds from the Paycheck Protection Program, as it turns out the triple-net lease structure is beneficial when applying for these loans.Our SNF operators are also benefiting from the CARES Act. Payments from the Provider Relief Fund, averaging approximately $150,000 per building, the 2% Medicare sequestration suspension and the 6.2% increase in the FMAP help improve near-term liquidity for the SNFs.Turning to collections. April collections were 99.7%. And so far in May, we have collected approximately 94%, which is in line with our expectations, as we typically see a portion of collections through the 15 of the month, depending on the underlying lease terms. At this point, nobody is past due.We speak frequently with our operators and are working to creatively find solutions that benefit them in this unprecedented time and that makes sense for our shareholders. We do have credit enhancements in our leases, with many of our senior housing operators, which total approximately $38.7 million in cash in addition to guarantees and we have excellent credit from our SNF operators.Turning to the performance of our different asset classes and larger operators. Our needs-driven senior housing operators were early to act to this pandemic and have limited the spread of the virus so far. As of our last weekly update, 14 assisted living and senior living campuses had active resident cases, with most of the communities limited to less than five cases per community.Bickford, which represents 17% of our annualized cash revenue, has seen a slight downtick in their move-out rates. But like much of the industry, their lead volume and tours are down more than 40%, which impacts the rate of new move-ins and occupancy. Bickford's average occupancy on a same-community basis was 87.3% in the first quarter and 86.6% for March. Occupancy further declined in April by 130 basis points to 85.3%.Our entrance fee communities have fared somewhat better as the resident turnover is much lower and the residents tend to be younger and healthier relative to other property types. But they are not immune to the impact of COVID-19 and we have had four entrance fee communities with active resident cases as of our last weekly update. Though like assisted living, the number of cases per community is limited.Senior Living Communities, which represents 16% of our revenue, had first quarter average occupancy of 80.4%, which ticked up slightly to 80.6% in March, but dropped to 79% in April, as multiple entrance fee sales have been delayed due to the pandemic.Our independent living communities have experienced a similar decline in leads, tours and move-ins as our assisted living operators. The incidence of COVID-19 is relatively low in independent living, and we had only two properties with active resident cases as of the last update.Holiday retirement, which represents 11% of our annualized cash revenue had average occupancy of 87.3% in the first quarter and 86.7% in March. The April average occupancy declined by 170 basis points to 85%.Bickford, SLC and Holiday represent approximately 56% of our senior housing units. On a combined basis, those three saw average occupancy decline by 150 basis points from March to April, which is a good proxy for the rest of the senior housing portfolio.The skilled nursing portfolio, which represents 26% of our annualized cash revenue, is anchored by two excellent credits in NHC and the Ensign Group. As of our last weekly update, 17 of our 78 SNFs had active resident cases. We have seen more instances of outbreaks in some of our SNFs which is expected given the higher acuity of the patient population and the more frequent contact caregivers have with the patients and residents.Given the short average length of stay for Medicare patients and the temporary stay on elective procedures, SNF occupancies have generally declined by more than what we are seeing in senior housing. However, there is more government financial support for the SNF industry.NHC, which accounts for 12% of annualized cash revenue, has received funds from the Provider Relief Fund. The company also expects to gain liquidity through the Medicare Accelerated Payment Program the Medicare sequestration suspension, the Payroll Tax Deferral and supplemental Medicaid payments. Overall, we feel very comfortable with the credit in our SNF portfolio.The pace of deals have stalled and everything indicates that this will continue for the next several months, as true price discovery is near impossible to determine right now. Our focus for the more immediate future is to continue funding existing commitments and extreme asset management, by creatively providing guidance and assistance to our operators if needed.For the longer term, we continue to have conversations with existing and new operators and expect that our pipeline will be ready to support significant external growth, when some normalcy returns to the market. I do want to express my gratitude and admiration for all of our operators and the frontline heroes that accomplished truly amazing acts of courage and their residents and patients every day.With that, I'll hand the call back over to Eric.